Individual provider Active NPI

Megan Fontenot, FNP

  • Family Nurse Practitioner
  • Carencro, LA
National Provider Identifier
1144991043
Registry record updated Mar 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
221876 Issued in LA
Practice address
3824 NE Evangeline Trwy Ste B
Carencro, LA 70520-5966
Phone
(337) 470-3280
Fax
(337) 470-3357
NPI assigned
Sep 22, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 221876 LA Primary

Addresses

Primary practice location

3824 NE Evangeline Trwy Ste B
Carencro, LA 70520-5966

Mailing address

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038
Phone (337) 470-3280

Other practice location 1

202 Rue Promenade
Lafayette, LA 70508-7218
Phone (337) 806-9161

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address mfontenot5012853@direct.casso.us.com Direct
FHIR URL https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211101003139 LA Practitioner - Nurse Practitioner 7315335916 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lourdes Physician Group LLCGroup PAC ID 7214177757, 157 clinicians

Practice addresses (Care Compare)

3824 NE Evangeline Trwy
Suite B
Carencro, LA 70520-5966
Phone (337) 470-3280

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lourdes Physician Group LLC Nurse Practitioner CurrentSince Dec 12, 2022 Accepting new patients
Women'S Health and Treatment Center of Acadiana, LLC CurrentSince Aug 24, 2021 Accepting new patients
Our Lady of Lourdes Regional Medical Center Past Accepting new patients

Locations

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816
Phone (225) 526-0011

3824 NE Evangeline Trwy
#B
Carencro, LA 70520
Phone (337) 470-3280

4801 Ambassador Caffery Pkwy
Lafayette, LA 70508
Phone (337) 470-2000

202 Rue Promenade
Lafayette, LA 70508
Phone (337) 806-9161

Interoperability endpoints

  • Direct secure messaging: mfontenot5012853@direct.casso.us.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1632268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678752000000",
    "number": "1144991043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 S SHERWOOD FOREST BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708166038",
            "telephone_number": "337-470-3280",
            "fax_number": "225-765-9196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3824 NE EVANGELINE TRWY STE B",
            "city": "CARENCRO",
            "state": "LA",
            "postal_code": "705205966",
            "telephone_number": "337-470-3280",
            "fax_number": "337-470-3357"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "202 Rue Promenade",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "LA",
            "postal_code": "705087218",
            "country_code": "US",
            "telephone_number": "337-806-9161",
            "fax_number": "337-406-1855",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FONTENOT",
        "first_name": "MEGAN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-22",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "221876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mfontenot5012853@direct.casso.us.com",
            "affiliation": "N",
            "endpointDescription": "FMOLHS-Epic",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "mfontenot5012853@direct.casso.us.com",
            "address_1": "3824 NE Evangeline Trwy Ste B",
            "city": "Carencro",
            "state": "LA",
            "country_code": "US",
            "postal_code": "705205966",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "FMOLHS FHIR URL",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "3824 NE Evangeline Trwy Ste B",
            "city": "Carencro",
            "state": "LA",
            "country_code": "US",
            "postal_code": "705205966",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Carencro, LA

Sources for this page

Verify at the official NPI Registry.